Individual
AMBER ANTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
3008 EDGEHILL RD, FORT WORTH, TX 76116-4413
(817) 584-9980
Mailing address
3008 EDGEHILL RD, FORT WORTH, TX 76116-4413
(817) 584-9980
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
121675
TX
235Z00000X
Speech-Language Pathologist
2237
CA
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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